Individual
DANNY MICHAEL KOFOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
(210) 575-6919
(210) 575-4013
Mailing address
8109 FREDERICKSBURG RD, PHYSICIAN PRACTICE SERVICES, SAN ANTONIO, TX 78229-3311
(210) 575-6919
(210) 575-4013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K8266
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
K8266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105043711 TRAD
—
TX
05
—
105043712 CSN
—
TX
01
—
8DL540
BCBS
TX
Enumeration date
04/25/2006
Last updated
05/20/2014
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